| NPI | 1558672808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3006507) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006507) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2021-10-22 |