| NPI | 1386746360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003029) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28161288A) |
| 363L00000X Nurse Practitioner (Licence: IN 71001781B) | |
| 363L00000X Nurse Practitioner (Licence: IN 71001781A) | |
| 363L00000X Nurse Practitioner (Licence: KY 3029P) | |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: KY 1071867) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2017-04-17 |