| NPI | 1508502436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704278836) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MI 4704278836) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-07-06 |