| NPI | 1386839272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3005242) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY 1093643) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 3005242) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 1093643) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2018-12-17 |