| NPI | 1477897353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28241859A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28241859A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209009856) | |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2025-09-29 |