| NPI | 1982298154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704310847NSA210JJ) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704310847) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-10-07 |