| NPI | 1073004495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71008877A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28164271A) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2022-09-01 |