| NPI | 1033763420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009308A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28214366A) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2023-02-01 |