| NPI | 1649691866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3008496) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1045882) |
| 363L00000X Nurse Practitioner (Licence: KY 3008496) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3008486) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2023-08-17 |