| NPI | 1851546089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71002871A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28082210A) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2014-11-17 |