| NPI | 1164108882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704373815) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704373815) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-10-01 |