| NPI | 1457887622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007272A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011004518) |
| 163W00000X Registered Nurse (Licence: IN 28164775A) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2022-09-19 |