| NPI | 1093322505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010923A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28212313A) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2023-06-19 |