| NPI | 1841255155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3212P) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024076514) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |