| NPI | 1083970339 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71004074A)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28167119A)  | 
| Enumeration Date | 2012-04-11 | 
| Last Update Date | 2021-01-25 |