| NPI | 1881765162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3004937) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4937P) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2015-01-22 |