| NPI | 1154792463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009746) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009746) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3009746) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2023-03-10 |