| NPI | 1295403517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IN 28251955A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28251955A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28251955A) | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-01-24 |