| NPI | 1508420597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704282549) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704282549) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704282549) | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2023-02-08 |