| NPI | 1306175351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704216668) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704216668) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2012-07-12 |