| NPI | 1124734454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013772A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28241113A) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-12-04 |