| NPI | 1003066218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704180121) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MI 4704180121) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2016-08-25 |