| NPI | 1386379501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71012811A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 28229514A) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-07-23 |