| NPI | 1265058648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010071A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28216496A) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-10-05 |