| NPI | 1902021892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002477A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28072442A) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-01-28 |