| NPI | 1477749836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN234191) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003301) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP30007701) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71003301A) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28191167) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2021-01-29 |