| NPI | 1538350517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002514A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28142827A) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2012-03-29 |