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 |