| NPI | 1811631906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3018053) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: KY 1128814) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-07-29 |