| NPI | 1881766269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3002881) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71002276A) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 2881P) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-08-30 |