| NPI | 1790477628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71013963A) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: IN 28251057A) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-06-02 |