| NPI | 1649754474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71008499A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71008499A) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 71008499A) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28163350A) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2021-07-23 |