| NPI | 1700685286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4040191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1158627) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-07-18 |