| NPI | 1578214011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3015969) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3015969) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3015969) | |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-05-06 |