| NPI | 1932802865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71013834A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28256766A) |
| 363L00000X Nurse Practitioner (Licence: IN F03230616) | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2024-04-24 |