| NPI | 1215240684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3006699) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3006699) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3006699) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2024-07-09 |