| NPI | 1275238552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704353803) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 23293091103) |
| 163W00000X Registered Nurse (Licence: MI 4704353803) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 23293091103) | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2024-04-04 |