| NPI | 1912142548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN NP 71002804 A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN RN 28120649 A) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |