| NPI | 1790376002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010846A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28215750A) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-02-19 |