| NPI | 1215509112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28256430A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28246430A) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |