| NPI | 1104414879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 71010767A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28164821A) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2022-04-11 |