| NPI | 1790794717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4196P) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KY 1053426) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-11-02 |