| NPI | 1053084731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011507A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28160499A) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-09-14 |