| NPI | 1235432329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KS 53-75157-081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-62134-081) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |