NPI | 1467009514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3013453) |
Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: KY 3013453) |
Enumeration Date | 2019-08-22 |
Last Update Date | 2024-05-29 |