| NPI | 1952859555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013581A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 2016073237NP-PP) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2023-03-01 |