| NPI | 1871977116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71005522A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005522A) |
| 363L00000X Nurse Practitioner (Licence: IN 71005522AB) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2023-04-21 |