| NPI | 1487256426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704285817) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MI 4704285817) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2022-07-15 |