| NPI | 1922523950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704279515) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704279515) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MI 4704279515) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2023-11-30 |