| NPI | 1215590674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704252880) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704252880) |
| 363L00000X Nurse Practitioner (Licence: MI 4704252880) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704252880) | |
| Enumeration Date | 2019-04-20 |
| Last Update Date | 2025-03-12 |