| NPI | 1093900573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 5167P) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5167p) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2016-07-21 |