| NPI | 1164815379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005386A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28192221A) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2018-12-06 |