| NPI | 1255930657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010674A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN F09201057) |
| 363L00000X Nurse Practitioner (Licence: IN 71010674A) | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2022-04-06 |