| NPI | 1063136547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704313034) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 2022026599) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 2022026599) | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2025-03-05 |