| NPI | 1639619091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71007259A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28192763A) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2021-03-02 |