| NPI | 1750936142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009361A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN RN-Indiana-28231867A) |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2021-11-11 |