| NPI | 1578761235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71002472A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28140691A) |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2021-02-03 |