| NPI | 1578118790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28208405A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009496A) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2024-12-10 |