| NPI | 1952774762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71005878A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71005878A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71005878A) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |