| NPI | 1073013645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704343121) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP10809) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP10809) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-06-16 |