| NPI | 1891363065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71013035A) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: IN 28151209A) |
| 163WG0000X Registered Nurse, General Practice (Licence: IN 28151209C) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-09-08 |