| NPI | 1083251714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009671) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28214372A) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2021-02-19 |