| NPI | 1699258335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008430A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 2816211A) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2021-06-28 |