| NPI | 1205347952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143857) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011613) |
| 363L00000X Nurse Practitioner (Licence: KY 3011613) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3011613) | |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2020-05-01 |