| NPI | 1629402946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004577A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28159230A) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2021-01-13 |