| NPI | 1275367328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704356433) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704356433) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704356433) | |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-12-16 |