| NPI | 1871559435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP-08929) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71012802A) |
| 363L00000X Nurse Practitioner (Licence: KY 3013909) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2026-05-05 |