| NPI | 1811510415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3013957) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1142549) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |