| NPI | 1013308352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005401A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28159166A) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2022-10-07 |