NPI | 1275256778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3018304) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 3018304) |
Enumeration Date | 2022-09-21 |
Last Update Date | 2023-01-26 |