| NPI | 1639694250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007588A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28197734A) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-10-10 |