| NPI | 1174777072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002773A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71002773A) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2024-06-11 |