| NPI | 1902410772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011305A) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: IN 28196768A) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-12-01 |