| NPI | 1063117661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704342424) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704342424) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704342424) | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-01-20 |