| NPI | 1336636703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3012276) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 31825) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 31825) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3012276) | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-08-05 |