| NPI | 1578916698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3010500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71007324A) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2023-03-17 |