| NPI | 1093366478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009984A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28207693A) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2025-04-08 |