| NPI | 1124465257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704256147) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704256147) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-09-26 |