| NPI | 1588946107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007142) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3007142) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007142) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3007142) | |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2023-03-31 |