| NPI | 1407292287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71004492A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004492A) |
| 163W00000X Registered Nurse (Licence: IN 28173926A) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2022-10-03 |