| NPI | 1487080529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71004778A) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: IN 28179149A) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2021-11-10 |