| NPI | 1225773658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-81201-102) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 14-134569-102) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-06-23 |