| NPI | 1487248159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011148A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28195660A) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2024-02-19 |