| NPI | 1982356754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28244262A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28244262A) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-07-05 |