| NPI | 1760953533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71008955A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28124300A) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2023-03-13 |