| NPI | 1679508410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28115564A) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IN 28115564A) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-01-20 |