| NPI | 1437440336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71003596A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28102000A) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |