NPI | 1255615266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007089) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3007089) |
Enumeration Date | 2011-10-10 |
Last Update Date | 2024-06-05 |