| NPI | 1366033177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011163A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN F01210492) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71011163A) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71011163A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011163A) | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-08-09 |