| NPI | 1932779857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011647A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28230407A) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-10-01 |