| NPI | 1225402423 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71014107A) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY APRN3016935) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP026069) | |
| Enumeration Date | 2015-11-25 | 
| Last Update Date | 2023-09-19 |