| NPI | 1922707793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013731A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28202419A) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-05-08 |