| NPI | 1679964407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005347A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28169560A) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2016-01-12 |