| NPI | 1487346243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4003621) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024187025) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024187025) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4003621) | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-10-19 |