| NPI | 1205055845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71000191A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28071452) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-03-18 |