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 |