| NPI | 1861879264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005543) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28082633A) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2016-03-28 |