| NPI | 1093916900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007485) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71001554A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007485) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-06-27 |