| NPI | 1588641252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28151030A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002061A) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2018-11-30 |