| NPI | 1265898878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11013090) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704216827) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2022-04-21 |