| NPI | 1487951208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006607) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA 14362 NP) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KY 3006607) | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2018-09-13 |