| NPI | 1679835243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1052179) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-07-18 |