| NPI | 1962810267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005135A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28187343A) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2021-12-13 |