| NPI | 1528617453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009905A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28223457A) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2022-06-30 |