| NPI | 1396305678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28156525A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28156525A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28156525A) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 28156525A) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-12-07 |