| NPI | 1679247738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3016558) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28268847C) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 2021036152) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2026-05-20 |