| NPI | 1235906421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71014729A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014729A) |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2024-01-09 |