| NPI | 1487028353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71005912A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71005912A) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71005912A) | |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2021-02-28 |