| NPI | 1073126256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704185601) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704185601) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-04-06 |