| NPI | 1639730013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009500A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN F02190171) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-03-14 |