| NPI | 1568845295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71005808A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28193970A) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2017-09-06 |