| NPI | 1831269901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71001460A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71001460) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-01-20 |