| NPI | 1447793872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: KY 3010344) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3010344) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3010344) | |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2023-02-22 |