| NPI | 1366834863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 28174612A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3008905) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IN 28174612A) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: KY 3008905) | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-03-03 |