| NPI | 1760197495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014073A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28236890A) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-07-27 |