| NPI | 1043563497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006996A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28201051A) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2017-04-05 |