| NPI | 1942486014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3005420) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: KY 3005420) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2019-05-14 |