| NPI | 1720719065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012779A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN F07211173) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2024-05-03 |