| NPI | 1376149856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3015301) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: KY 3015301) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2021-07-27 |