| NPI | 1740893940 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71012286A) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28211826A) | 
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71012286A) | |
| Enumeration Date | 2020-08-26 | 
| Last Update Date | 2022-08-10 |