| NPI | 1588934434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71003993A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28117178) |
| 363L00000X Nurse Practitioner (Licence: IN 71003993A) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IN A1109132) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2013-10-23 |