| NPI | 1750688412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3006750) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006750) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2023-07-25 |