| NPI | 1730437930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004093A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184490A) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2023-03-08 |