| NPI | 1861127755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28155838A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28155838A) |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2022-07-23 |