| NPI | 1336443670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003563A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28105176A) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2020-12-15 |