| NPI | 1669793535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003303A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28156006A) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2021-02-04 |