| NPI | 1689746133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71002330A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 28170235A) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3005657) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-08-15 |