NPI | 1386387025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704311095) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704311095) |
Enumeration Date | 2022-04-20 |
Last Update Date | 2022-11-16 |