| NPI | 1740989540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71014374A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN F02230569) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-11-29 |