| NPI | 1639553498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006099A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28163563A) |
| 363L00000X Nurse Practitioner (Licence: IN 71006099B) | |
| 363L00000X Nurse Practitioner (Licence: KY 3009678) | |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2021-03-29 |