| NPI | 1417667445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3018583) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: KY 3018583) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2025-03-03 |