| NPI | 1891013934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003334A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28168574A) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2016-05-31 |