| NPI | 1356932446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010781A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002568-C-NP) |
| 163W00000X Registered Nurse (Licence: IN 28190353A) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-04-02 |