| NPI | 1588941991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3006623) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 6623P) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2024-08-28 |