| NPI | 1871268953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71011838A) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: IN 28207130A) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-11-05 |