| NPI | 1861477937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001949A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001949B) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2024-06-20 |