NPI | 1205659323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71016247A) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.030991) |
Enumeration Date | 2024-11-06 |
Last Update Date | 2025-05-19 |