| NPI | 1932413994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012864A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F0610541) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2022-08-08 |