| NPI | 1356681381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007933) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007933) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3007933) | |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2024-02-27 |