| NPI | 1831189554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71000852A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28113743A) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2010-07-23 |