| NPI | 1720447683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006425A/B) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28157404A) |
| 363L00000X Nurse Practitioner (Licence: IN 71006425) | |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2022-04-17 |