| NPI | 1881171981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3011555) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3011555) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3011555) | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2023-04-18 |