| NPI | 1265210355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4009862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1154234) |
| 363L00000X Nurse Practitioner (Licence: KY 4009862) | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-08-01 |