| NPI | 1609282060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71008751A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-119311) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-119311) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-119311) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-03-24 |