| NPI | 1225408016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005852A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28143623A) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2020-11-18 |