| NPI | 1326480948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004533A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28177166A) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2014-06-30 |