| NPI | 1427521814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28210200A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN PENDING) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2021-02-26 |