| NPI | 1447792338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3010847) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-136920) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3010847) | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2021-03-19 |