| NPI | 1457910689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009575A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28167280A) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2020-04-20 |