| NPI | 1467095422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009489A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28210688A) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2020-10-13 |