| NPI | 1568044667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011167A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28190641A) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2024-03-08 |