| NPI | 1114276110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704259636) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704259636) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704259636) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2024-05-10 |