| NPI | 1093028235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28087233A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009194) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5009194) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2017-03-13 |