| NPI | 1336784594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704260805) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MI 4704260805) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |