| NPI | 1831762343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011516A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28240832A) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-08-09 |