| NPI | 1699847863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71002254A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002254A) |
| 363L00000X Nurse Practitioner (Licence: KY 3015903) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-02-28 |