| NPI | 1194077644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004235A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28160815A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004235A) | |
| 163W00000X Registered Nurse (Licence: IN 28160815A) | |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2023-12-15 |