| NPI | 1023201902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11003295) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005212) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 2007001906) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2020-03-19 |