| 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 |