| NPI | 1841369147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3004280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3004280) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2021-06-01 |