| NPI | 1407368848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011777) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3011777) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KY 3011777) | |
| 363L00000X Nurse Practitioner (Licence: NC 5011974) | |
| 363L00000X Nurse Practitioner (Licence: SC 21288) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024193230) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2025-05-07 |