| NPI | 1497515720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015943A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28240879A) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-11-15 |