| NPI | 1659825115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006533A) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: IN 28185741A) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2018-10-08 |