| NPI | 1508015439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71002746A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28164416) |
| 363L00000X Nurse Practitioner (Licence: IN 71002746A) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2018-04-30 |