| NPI | 1053951814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704309194) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704309194) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2021-03-08 |