| NPI | 1285929059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003706A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71003706A) |
| 163W00000X Registered Nurse (Licence: IN 28165041A) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 041502665) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209022605) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2024-06-20 |