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 |