| NPI | 1427213214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005479) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: KY 5479S) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2020-12-31 |