| NPI | 1346672714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004551A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004551A) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2024-09-09 |