| NPI | 1013396456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704301628) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704301628) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95000038) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2016-10-31 |