| NPI | 1215418355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008367A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28167994A) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2022-12-23 |