| NPI | 1568076628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71011230A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28242913A) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2022-06-06 |