| NPI | 1144995606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011608A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28227067A) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-02-20 |