| NPI | 1346623956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4002839) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2008023126) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WV 116231) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2023-06-27 |