| NPI | 1487480638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015989A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 2823767A) |
| 363L00000X Nurse Practitioner (Licence: IN 71015989A) | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-12-13 |