| NPI | 1730942905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4034442) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4034442) |
| 363L00000X Nurse Practitioner (Licence: KY 4034442) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KY 1176465) | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2025-11-17 |