| NPI | 1306892054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704223514) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WY 51188) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0030918) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID NP488A) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-03-07 |