| NPI | 1164887618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 71007939A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71007939A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71007939A) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209013677) | |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2018-06-20 |