| NPI | 1306193818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704402480) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22218) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 867930) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2025-03-05 |