| NPI | 1750545109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002674A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28133507A) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2021-01-26 |