| NPI | 1790328094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11011720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28220237A) |
| 163W00000X Registered Nurse (Licence: FL 9556993) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN F09190634) | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2021-08-11 |