| NPI | 1669808036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004852A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN A0813062) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2015-03-06 |