| NPI | 1780021758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004511A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28176736A) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2021-06-14 |