| NPI | 1780340828 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012228A)  | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28194091A)  | 
| Enumeration Date | 2021-11-12 | 
| Last Update Date | 2022-05-27 |