NPI | 1568713998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704232995) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704232995) |
Enumeration Date | 2012-09-25 |
Last Update Date | 2016-01-20 |