| NPI | 1770836595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 710060225A) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IN 28091786A) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: KY 1131260) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KY 1131260) | |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2016-07-29 |