| NPI | 1518486968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011116A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28212219A) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-08-10 |