| NPI | 1962093211 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011336A)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28215651A)  | 
| Enumeration Date | 2021-01-29 | 
| Last Update Date | 2023-06-01 |