| NPI | 1285173401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3010912) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010912) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3010912) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2023-07-28 |