| NPI | 1891834735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3003956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28193680A) |
| 163W00000X Registered Nurse (Licence: KY 1098624) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3003956) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-05-14 |