| NPI | 1770892689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003449A) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: IN 28161577A) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2022-01-26 |