| NPI | 1003443540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3016839) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 213926) |
| 163W00000X Registered Nurse (Licence: IN 28223641A) | |
| 163W00000X Registered Nurse (Licence: KY 1165112) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2021-11-02 |