| NPI | 1801680301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 4039362) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: KY 1115652) |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-05-28 |