| NPI | 1578892550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008610A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28154355A) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2019-01-07 |