| NPI | 1316469059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704272617) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 2017014272) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-03-04 |