| NPI | 1699421305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012372A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 28130603A) |
| 363L00000X Nurse Practitioner (Licence: IL 209028411) | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2024-05-15 |