| NPI | 1659808111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007019A) |
| Additional Taxonomies | 163WC2100X Registered Nurse, Continence Care (Licence: IN 50452) |
| 163WW0000X Registered Nurse, Wound Care (Licence: IN 50452) | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2018-03-17 |