| NPI | 1194318766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3015915) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: KY 1116303) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3015915) | |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2023-01-06 |