| NPI | 1497326870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011339A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28193297A) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2022-05-10 |