| NPI | 1932442274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012347A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 188063) |
| 363L00000X Nurse Practitioner (Licence: TN 17648) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2023-01-18 |