| NPI | 1790736221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9229076) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005578) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-12-14 |