| NPI | 1700256062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005926A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28191983A) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2020-11-18 |