| NPI | 1033413596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704264105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 470426105) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2012-03-21 |