| NPI | 1093317133 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704299368)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0028440)  | 
| 363L00000X Nurse Practitioner (Licence: MI 4704299368)  | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0028440)  | |
| Enumeration Date | 2020-11-13 | 
| Last Update Date | 2022-12-07 |