| NPI | 1790208197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 28193521A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28193521A) |
| 363L00000X Nurse Practitioner (Licence: IN 71007461A) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-12-02 |