| NPI | 1063912293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011844) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: KY 3011844) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2020-10-27 |