| NPI | 1811554876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71009070A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28195032A) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2023-02-23 |