| NPI | 1639864960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 283236250A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704343668) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |