| NPI | 1912545021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009894A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28233644A) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-03-11 |