| NPI | 1235549213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3009919) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009919) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71005059A) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28183891A) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71005059A) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2020-07-13 |