| NPI | 1669032983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN F06191280) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71009120A) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-04-10 |