| NPI | 1770349276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015041A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28229341A) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-05-09 |