| NPI | 1508358862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71010577) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011457) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3011457) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3011457) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71010577) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3011457) | |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2024-11-16 |