| NPI | 1942497102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005304) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 42001) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71004669A) | |
| 163W00000X Registered Nurse (Licence: IN 28212042A) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2016-01-05 |