| NPI | 1699961144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 12693) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 300724) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2020-10-14 |