| NPI | 1609669555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4045715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 460049) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-09-25 |