| NPI | 1083289151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704326281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.408235) |
| 163W00000X Registered Nurse (Licence: MI 4704326281) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: OH APRN.CNP.0029408) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704326281) | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2022-08-19 |