| NPI | 1760998843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007829A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28219839A) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2022-12-05 |