| NPI | 1073235859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MI 4704301246NSA220SA) |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care (Licence: MI 4704263386) |
| 163WX1500X Registered Nurse Ostomy Care (Licence: MI 4704263386) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: MI 4704301246) | |
| 225200000X Physical Therapy Assistant | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704263386) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-05-21 |