| NPI | 1497497747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015069A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28269976A) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-05-09 |