| NPI | 1528376779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003395A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28156755a) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2018-08-03 |