| NPI | 1578966594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011044A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28198548A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011767) | |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2023-04-20 |