| NPI | 1346538147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007288) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1630) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A03536ANP) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2013-03-18 |