| NPI | 1598423105 |
|---|---|
| Former Name | MICAELA PREVATKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 269731) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 179686) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2022-01-31 |