| NPI | 1619586070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010816A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28198927A) |
| 163W00000X Registered Nurse (Licence: MI 4704359018) | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2022-03-23 |