| NPI | 1316341597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009029) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014352A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3009029) | |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2024-05-22 |