| NPI | 1164182432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012154A) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: IN 28240101A) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2022-10-15 |