| NPI | 1639838824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012026A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28232196A) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2023-11-14 |