| NPI | 1508104258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007898) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007898) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004367A) | |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2020-12-02 |