| NPI | 1861167082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28224828A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71011554) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71011554) | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2023-03-26 |