| NPI | 1073285177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3016860) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28229963A) |
| 363L00000X Nurse Practitioner (Licence: IN 71012180A) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2022-03-25 |