| NPI | 1528583069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71007941A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3011623) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71007941A) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3011623) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71007941A) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3011623) | |
| Enumeration Date | 2017-08-06 |
| Last Update Date | 2023-11-27 |