| NPI | 1346538204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3006995) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1108590) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |