| NPI | 1134418452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704307369) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704307369) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2021-02-09 |