| NPI | 1629641980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN F07210870) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28223757A) |
| 363L00000X Nurse Practitioner (Licence: IN 71011524A) | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-09-28 |