| NPI | 1477223766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71011590A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28209478A) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2023-10-05 |