| NPI | 1245866821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704276431) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MI 4704276431) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2021-03-04 |