| NPI | 1710561584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3015054) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: KY 3015054) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |