| NPI | 1144734849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71007688A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28185175A) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2021-11-02 |