| NPI | 1184423428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4043810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1161746) |
| 363L00000X Nurse Practitioner (Licence: KY 4043810) | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-08-21 |