| NPI | 1154942100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN376119) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN.376119) |
| 363L00000X Nurse Practitioner (Licence: MI 4704320587) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI APRN.CNP.0027786) | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2024-02-13 |