| NPI | 1275189037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009270A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013747) |
| 363L00000X Nurse Practitioner (Licence: IN 28235341A) | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-26 |