NPI | 1457019747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3017080) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1137648) |
Enumeration Date | 2021-12-03 |
Last Update Date | 2024-10-30 |