| NPI | 1780399907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71013487A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28229839A) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |