| NPI | 1154803468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704292004NSA180VX) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: MI 4704292004) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2024-09-11 |