| NPI | 1265819775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005492A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28141994A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005492A) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2023-09-27 |