| NPI | 1851494934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013893) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA 085021) |
| 363L00000X Nurse Practitioner (Licence: IA 085021) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA 085021) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2021-11-23 |