| NPI | 1083928436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 2019332) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704145231) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-11-18 |