| 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 |