| NPI | 1366981532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3011138) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1121361) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2021-01-12 |