| NPI | 1588049696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71000870A) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KY 3003341) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-11-09 |