| NPI | 1356694210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004219A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28115728A) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2022-03-15 |