| NPI | 1598010357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004058A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28136952A) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2023-11-06 |