| NPI | 1932394087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71002491A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002491A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28124768A) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2021-10-11 |