| NPI | 1093567554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71015602A) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: IN 28189587A) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-08-14 |