NPI | 1093224594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: KY 3011686) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KY 3011686) |
363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3011686) | |
Enumeration Date | 2017-09-27 |
Last Update Date | 2020-01-14 |