| NPI | 1083442735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71015519A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28267646A) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-08-22 |