| NPI | 1558753152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010035A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28150677A) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2022-04-04 |