| NPI | 1962840785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004528A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28154057A) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2021-01-27 |