| NPI | 1639643133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 71009587A) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 71009587A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71009587A) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71009587A) | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2024-01-16 |