| NPI | 1013764984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015409A) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IN 28252299A) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-10-02 |