| NPI | 1720566797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71008848A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28223580A) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2022-01-21 |