| NPI | 1558042820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014206A) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: IN 28248429A) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-11-02 |