| NPI | 1093906448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704159190) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 4704159190) |
| 364SE0003X Clinical Nurse Specialist Emergency (Licence: MI 4704159190) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2023-11-27 |