| NPI | 1730738543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28224485A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71012486A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 41273472) | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2023-02-21 |