| NPI | 1285045682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008658) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008658) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3008658) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3008658) | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2022-12-05 |