| NPI | 1699129148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006205A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9246174) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9246174) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71006205A) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.020413) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006205A) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2023-11-03 |