| NPI | 1578002952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007139A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28103737A) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-07-07 |