| NPI | 1538356837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28240019A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-073471) |
| 363L00000X Nurse Practitioner (Licence: GA RN237110) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2019-03-11 |