| NPI | 1326086646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004602A) |
| Additional Taxonomies | 2086S0129X (Licence: IN 71004602A) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-12-13 |