| NPI | 1235568833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704258937) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704258937) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2020-06-22 |