| NPI | 1942088166 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014503A) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28236505A) | 
| Enumeration Date | 2023-09-19 | 
| Last Update Date | 2024-03-05 |