| NPI | 1386727659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R188246) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 0147377-21) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-01-20 |