| NPI | 1487471579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4047675) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: KY 1107416) |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2025-10-24 |