| NPI | 1609301902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007111A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28140327A) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2023-11-27 |