| NPI | 1386644425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003327) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001869A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71001869A) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3003327) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-05-24 |