| NPI | 1265606065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002129A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28103281A) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2018-05-23 |