| NPI | 1851620504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3006304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9170715) |
| 363L00000X Nurse Practitioner (Licence: KY 3006304) | |
| 163W00000X Registered Nurse (Licence: KY 1089016) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 6304P) | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2023-12-18 |