| NPI | 1609548965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018290) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2021038564) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2021038564) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-05-15 |