| NPI | 1548577315 |
|---|---|
| Former Name | DAINE LYNN BEANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704219139) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704219139) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2019-02-19 |