| NPI | 1407812928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KY 3003575) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9439491) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3003575) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2026-03-30 |