| NPI | 1114049095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 4010950) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-087710) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-11-21 |