| NPI | 1124787502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704273954) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 470473954) |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2024-08-25 |