| NPI | 1427527761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71009294A) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: IN 28139841A) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2021-06-15 |