| NPI | 1831706019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28191499A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28191499A) |
| 363L00000X Nurse Practitioner (Licence: IN 71010932A) | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-04-13 |