| NPI | 1629116868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002326A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28070434A) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-06-23 |