| NPI | 1154058923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704314544) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 4704314544) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |