| NPI | 1376948547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005360) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IN 28181527A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2017-02-09 |