| NPI | 1902267057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71006117A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006117A) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2024-03-28 |