| NPI | 1528883279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71016166A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28231273A) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2025-01-28 |