| NPI | 1093278509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009016A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28177229A) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2022-11-17 |