| NPI | 1679194542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704264664) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704264664) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704264664NSA200EK) | |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2021-01-29 |