| NPI | 1023723178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71013484A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71013484A) |
| 363L00000X Nurse Practitioner (Licence: KY 4018488) | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-05-09 |