| NPI | 1689976193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008249) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71003470A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3008249) | |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2019-11-25 |