NPI | 1003600529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71017079A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28262775A) |
Enumeration Date | 2025-04-08 |
Last Update Date | 2025-09-21 |