| NPI | 1306335955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007996A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28209611A) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2024-01-06 |