| NPI | 1619430501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25400) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.024394) |
| 363L00000X Nurse Practitioner (Licence: KY 3013368) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 25400) | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2023-03-28 |