| NPI | 1356824684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3012554) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KY 3012554) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3012554) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2022-11-08 |