| NPI | 1376214221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013790A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28243217A) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2023-04-06 |