| NPI | 1457019747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3017080) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1137648) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2024-08-02 |