| NPI | 1689129645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN295528) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRNCNP0031088) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71006472A) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006472A) | |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2022-05-25 |