| NPI | 1063401156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001163A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28137148A) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2018-10-26 |