| NPI | 1962279216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28129427A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014794A) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-06-01 |