| NPI | 1427047505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71000024A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28076646) |
| 363L00000X Nurse Practitioner (Licence: IN 71000024) | |
| 363L00000X Nurse Practitioner (Licence: KY 3008212) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2014-09-03 |