| NPI | 1790460988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014090A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184965A) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN F03230362) | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-07-31 |