| NPI | 1598006272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004274) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004274) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2021-02-17 |