| NPI | 1295358927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3013800) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: KY 1140163) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2023-12-15 |