| NPI | 1326352519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003306A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71003306A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3006603) | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2022-05-20 |