| NPI | 1811882459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4053744) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363L00000X Nurse Practitioner (Licence: KY 4053744) | |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2026-09-18 |