| NPI | 1134770167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28150535A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009537A) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-10-18 |