| NPI | 1215920665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001816A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F1104006) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2023-05-09 |