| NPI | 1962595223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002159A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28113301A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71002159) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71002159A) | |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2017-11-13 |