| NPI | 1639259757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704206804) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704206804) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704206804) | |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MI 4704206804) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-10-22 |