| NPI | 1649728338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71006664A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71006664A) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2025-09-15 |