| NPI | 1912217902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006666) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KY 6666S) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2022-03-15 |