| NPI | 1073408803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704390044) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704390044) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704390044) | |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-26 |