| NPI | 1831707009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010280A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 12345678A) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-08-26 |