| NPI | 1497053714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006749) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 15685) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3006749) | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2013-11-27 |