| NPI | 1871152439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009288A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28195650A) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-08-30 |