| NPI | 1114474889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704292215) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704292215) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2023-04-19 |