| NPI | 1285975532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004478A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28121539A) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2017-02-28 |