| NPI | 1043527856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 280849) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71003353A) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IN 28133069A) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2023-05-09 |