NPI | 1134966153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704348158) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MI 4704348158) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704348158) | |
Enumeration Date | 2024-07-09 |
Last Update Date | 2025-09-03 |