| NPI | 1831797455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71012538A) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28238970A) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2022-05-16 |