| NPI | 1164167805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704323061) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704323061) |
| 363L00000X Nurse Practitioner (Licence: MI 4704323061) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-01-19 |