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 |