| NPI | 1699887026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003505) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704264093) |
| 363L00000X Nurse Practitioner (Licence: TN APN0000012075) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3003505) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-26 |