| NPI | 1699375469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704371449) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ 195150) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2021-07-05 |