| NPI | 1457456659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001461A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28119508A) |
| 207Q00000X Family Medicine (Licence: IN 71001461) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-07-26 |