| NPI | 1619669900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014030A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28197635A) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-06-26 |