| NPI | 1902803901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3002302) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH NP-02608) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3002302) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2022-12-29 |