| NPI | 1295126530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.16722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704266816) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704266816) | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2020-06-18 |