| NPI | 1861877862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3009752) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: KY 1130952) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024175001) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024175001) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2024-03-14 |