| NPI | 1114552882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71008874A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71009792A) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2024-06-25 |