| NPI | 1922577337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008532A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28203117A) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2022-06-07 |