| NPI | 1487823068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002613A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28106541A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71002613A) | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2024-04-01 |