NPI | 1053154633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4026717) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KY 1158909) |
Enumeration Date | 2024-06-13 |
Last Update Date | 2024-11-27 |