| NPI | 1326827916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014692A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28188556A) |
| 363L00000X Nurse Practitioner (Licence: IN 2023103023) | |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-12-04 |