| NPI | 1184922395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004839A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28174669A) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2014-07-04 |