| NPI | 1770293516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013486A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28225230A) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2023-08-30 |