| NPI | 1245516269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704254634) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704254634) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2025-07-19 |