| NPI | 1831652577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 290886) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VI AP13311) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2023-12-07 |