| NPI | 1861799892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3006654) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006654) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2020-12-02 |