| NPI | 1366064875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010087A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 1366064875) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2022-05-27 |