| NPI | 1063983641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3013173) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013173) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN9295254) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3013173) | |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2023-05-10 |