| NPI | 1649135682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4018967) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4018967) |
| Enumeration Date | 2025-12-22 |
| Last Update Date | 2026-04-13 |