| NPI | 1124770466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013306A) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28216946A) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-12-07 |