| NPI | 1871644278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71002313A) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: IN 28144501A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71002313A) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2025-05-05 |