| NPI | 1649960592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71013872A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71073872A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4002142) | |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2024-02-07 |