| NPI | 1215270350 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007971)  | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3007971)  | 
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 65591)  | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11011990)  | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.021906)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3007971)  | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11011990)  | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.021906)  | |
| Enumeration Date | 2013-03-27 | 
| Last Update Date | 2024-01-04 |