| NPI | 1720418080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28171978A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28171978A) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: IN 28171978A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28171978A) | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2023-07-12 |