| NPI | 1356787493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004507A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28175280A) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2014-12-03 |