| NPI | 1417563594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010586A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28153210A) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2022-10-03 |