| NPI | 1962285122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN F02230273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71014941A) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-03-11 |