| NPI | 1699059345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007446) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KY 3007446) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2017040275) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH 13390) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2017041037) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003734A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 021552) | |
| 364S00000X Clinical Nurse Specialist (Licence: IN 71003734A) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2022-10-13 |