| NPI | 1558190934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71015796A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28180161C) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-10-09 |