| NPI | 1073925095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71005075A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 28190524A) |
| 163W00000X Registered Nurse (Licence: IN 28190524A) | |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2014-09-02 |