| NPI | 1992777825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY APN3004056) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3004056) |
| Enumeration Date | 2006-02-04 |
| Last Update Date | 2022-08-17 |