| NPI | 1538574934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-118219) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28262179A) |
| 363L00000X Nurse Practitioner (Licence: IL 209.018310) | |
| 363L00000X Nurse Practitioner (Licence: IN 71011359A) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2023-08-04 |