| NPI | 1083186415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008800A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28213916A) |
| Enumeration Date | 2018-12-25 |
| Last Update Date | 2019-02-26 |