| NPI | 1184672628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001467A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3899P) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IL 309002150) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71001467A) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IN 28079891A) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-12-06 |