| NPI | 1417709403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015932A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28195922A) |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-12-19 |