| NPI | 1285089664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71006275A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28200463A) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2021-03-08 |