| NPI | 1982262788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014586A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3019033) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.025243) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-01-08 |