| NPI | 1700509338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013281A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184591A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71013281A) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2024-04-04 |