| NPI | 1487925194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013618A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007296) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.15823) | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2023-07-31 |