| NPI | 1124403837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005788A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28195852A) |
| 363L00000X Nurse Practitioner (Licence: GA RN310134) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2024-01-19 |