| NPI | 1427611052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704230867NSA190N6) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704230867) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-08-05 |