| NPI | 1063075216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704272963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704272963) |
| 363L00000X Nurse Practitioner (Licence: MI 4704272963) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2022-08-16 |