| NPI | 1114278389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 35536) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704199482) |
| 163W00000X Registered Nurse (Licence: MI 4704199482) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431875) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: DE LP-0010378) | |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2024-01-31 |