| NPI | 1689009441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004708A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28141481A) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2022-12-20 |