| NPI | 1023350048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3008154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1079483) |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: KY 3008154) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2021-08-05 |