| NPI | 1548386766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002196A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704292094) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2943) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71002196A) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-05-20 |