| NPI | 1164013629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011665A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28180808A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN F06210384) | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2025-02-11 |