| NPI | 1679914303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3008165) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: KY 1123226) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2014-11-12 |