| NPI | 1063176998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KY 3016909) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3016909) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2024-02-08 |