| NPI | 1619667151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014005A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28156833A) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-09-05 |