| NPI | 1497458665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4006496) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1161341) |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-07-06 |