| NPI | 1548669831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005070A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28117185A) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |