NPI | 1730942905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4034442) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4034442) |
363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4034442) | |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: KY 1176465) | |
Enumeration Date | 2024-01-31 |
Last Update Date | 2025-06-12 |