| NPI | 1336702562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704313742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704313742) |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2021-11-09 |