| NPI | 1144697863 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3009584)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71005673A)  | 
| Enumeration Date | 2015-08-28 | 
| Last Update Date | 2024-04-24 |