| NPI | 1851863211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71008710A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71008710A) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71008710A) | |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2024-05-20 |