| NPI | 1922196526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3004998) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4988P) |
| 363L00000X Nurse Practitioner (Licence: KY 3004998) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-07-19 |