| NPI | 1093315608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011049A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011049A) |
| 163W00000X Registered Nurse (Licence: IN 28211975A) | |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2022-06-10 |