| NPI | 1295177061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71004604A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004604A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28210327A) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2020-12-17 |