| NPI | 1356620868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003679A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28169804A) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2016-06-17 |