| NPI | 1730679382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008094A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28209451A) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2021-05-13 |