| NPI | 1487643615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71000601A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28122298A) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2025-02-18 |