| NPI | 1104561711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012623A) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: IN 28243442A) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-10-17 |