| NPI | 1164780276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003937A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28158749A) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2022-03-02 |