| NPI | 1295095016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704246902) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704246902) |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2015-04-21 |