| NPI | 1891402954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4005845) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KY 1135839) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KY 4005845) | |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2023-06-22 |