| NPI | 1437134772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001797A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71001797A) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IN 28149565A) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2016-11-07 |