| NPI | 1689111833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71007167A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28191509A) |
| 363L00000X Nurse Practitioner (Licence: IN 7100767A) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2022-01-19 |