| NPI | 1124521810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704285142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA N260839428) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: WA N260839428) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA N360840125) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA N360840125) | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2023-06-27 |