| NPI | 1881028553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN A0813063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28147839A) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2020-12-06 |