| NPI | 1457950016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: KY 3015347) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3015347) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3015347) | |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |