| NPI | 1619748852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015076A) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: IN 28229142A) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-07-02 |