| NPI | 1093225815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007531A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2017024415) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2018-05-21 |