| NPI | 1699033548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704184988) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704184988) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71013937A) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MI 4704184988) | |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2024-09-09 |