| NPI | 1538428875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004037A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28186432A) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2023-12-01 |