| NPI | 1487492880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015576A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28175858C) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-31 |