| NPI | 1629136213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71001669A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28139981) |
| 363L00000X Nurse Practitioner (Licence: IN 71001669) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-01-28 |