| NPI | 1619962198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71000085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28058063A) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2014-03-05 |