| NPI | 1053392712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IN 71000612A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 7100612A) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2008-07-25 |