| NPI | 1144750092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007480A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71007480A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71007480A) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-09-15 |