| NPI | 1326609173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 275787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28218513A) |
| 363L00000X Nurse Practitioner (Licence: IN 71009338A) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-11-10 |