| NPI | 1508830613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28232238B) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN069666) |
| 163W00000X Registered Nurse (Licence: IN 28232238A) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2017-04-16 |