| NPI | 1043231616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704106116) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: MI 4704106116) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-09 |