| NPI | 1487845624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002452A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 28134404A) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2015-12-10 |