| NPI | 1033485107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007263) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 13127-NP) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2014-04-21 |