| NPI | 1821774233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71014076A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28236095A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71014076A) | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-08-24 |