| NPI | 1477320638 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014896A) | 
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: IN 28247299A) | 
| Enumeration Date | 2023-12-07 | 
| Last Update Date | 2024-02-15 |