| NPI | 1720420300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3008134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3008134) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2022-04-27 |