| NPI | 1508196999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-234817) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 202209765RN) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95185761) | |
| 363L00000X Nurse Practitioner (Licence: MI 4704413416) | |
| 163W00000X Registered Nurse (Licence: MN 2523379) | |
| 163W00000X Registered Nurse (Licence: MT NUR-APRN-LIC-234817) | |
| 163W00000X Registered Nurse (Licence: MI 4704413416) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2024-04-01 |