| NPI | 1386456481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016258A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28195013A) |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-02-12 |