| NPI | 1619948569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007458) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007458) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024087401) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2023-10-19 |