| NPI | 1982257580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3013659) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3013659) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3013659) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3013659) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-12-18 |