| NPI | 1144872763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009342A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 2019039563) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA 2019039563) | |
| Enumeration Date | 2019-07-13 |
| Last Update Date | 2020-04-02 |