| NPI | 1629361357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003653A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28155675A) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2023-05-03 |