| NPI | 1598473951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71015003A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28207895A) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2024-03-08 |