| NPI | 1609867563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71000480A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28105420A) |
| 363L00000X Nurse Practitioner (Licence: IN 71000480A) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2018-08-02 |