| NPI | 1336695584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006547A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28164801A) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2024-08-13 |