| NPI | 1639953565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4016629) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KY 1099305) |
| 363L00000X Nurse Practitioner (Licence: KY 4016629) | |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2024-12-13 |