| NPI | 1346916103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011611A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28209171A) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-10-01 |