| NPI | 1346355450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KY 3005114) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY TR42751) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-07-31 |