| NPI | 1316293541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004069A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28174769A) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2018-08-29 |