| NPI | 1134684749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008820A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28229473A) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2021-02-05 |