| NPI | 1033892781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014216A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 123456) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-23 |