| NPI | 1205229952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005391A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28190483A) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2018-03-17 |