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 |