| NPI | 1487033882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71005559A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28152144A) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2016-09-23 |