| NPI | 1477078798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN F11170111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 257203) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2023-08-18 |