| NPI | 1518774678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4035775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1172187) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2025-03-03 |