| NPI | 1629643317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 10003376A) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: MI 4704375033) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2022-10-15 |