| NPI | 1093296543 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704424388) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP137486) | 
| 363L00000X Nurse Practitioner (Licence: MI 4704424388) | |
| Enumeration Date | 2018-08-23 | 
| Last Update Date | 2025-05-14 |