| NPI | 1114157633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71000593A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71000593A) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2022-12-30 |