| NPI | 1871224576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012835A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN F05220661) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-01-11 |