| NPI | 1275770802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003850A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28176966A) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2012-06-15 |