| NPI | 1336682723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007012A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28199584A) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2022-10-10 |