| NPI | 1598306037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012905A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903530) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2022-09-22 |