| NPI | 1386108330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ 223850) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: MI 20187141) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-03-22 |