| NPI | 1386843233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3005218) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3005216) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2019-06-21 |