| NPI | 1891351359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009304A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28231339A) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2021-01-22 |