| NPI | 1073776712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704243065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704243065) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2019-07-10 |