| NPI | 1568992055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013263A) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IN 142462) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-11-18 |