| NPI | 1497280754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007252A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28207326A) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2021-03-22 |