| NPI | 1497228274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012631A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8801) |
| 163W00000X Registered Nurse (Licence: WI 228990) | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2024-01-19 |