| NPI | 1952757528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71006528A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28169002A) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-09-26 |