| NPI | 1609596048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013151A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28197945A) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-07-05 |