| NPI | 1578563169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 44841) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 44841) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2012-03-19 |