| NPI | 1609476456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28207284A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71010942A) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2021-05-11 |