| NPI | 1447389895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4025224) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4025224) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 4025224) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 6510) | |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2025-09-29 |