| NPI | 1063680692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002622A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN F1007206) |
| Enumeration Date | 2008-02-17 |
| Last Update Date | 2011-03-18 |