| NPI | 1295185544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71006386A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010325) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: KY 3010325) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: KY 3010325) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: KY 3010325) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-09-05 |