| NPI | 1750067708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: KY 4004856) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: KY 4004856) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-11-07 |