| NPI | 1013227024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006668) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3006668) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0990672-NP) | |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2016-11-07 |