| 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 |