| NPI | 1831492065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003504A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28134544A) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2011-05-06 |