NPI | 1477321859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4015241) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KY 1139968) |
Enumeration Date | 2023-12-15 |
Last Update Date | 2024-02-02 |