| NPI | 1497497036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012569A) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IN 28173624A) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-10-17 |