| NPI | 1558673145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704259491) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704259491) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704259491) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2022-07-28 |