| NPI | 1841961802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011749A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28190361A) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-10-26 |