| NPI | 1346492568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 30005791) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 30005791) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KY 5791) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-05-24 |