| NPI | 1609429760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71009355A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28197721A) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2022-06-21 |