| NPI | 1790558104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014790A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN AG10230081) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-03-14 |