| NPI | 1083616064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3003069) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: KY 3069P) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2016-09-02 |