| NPI | 1831868017 |
|---|---|
| Former Name | PROMITA CHAKRABORTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704319407) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704319407) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2023-07-17 |