| NPI | 1346625464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005742A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28174269A) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2017-03-09 |