| NPI | 1346736568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704260815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209017677) |
| 363L00000X Nurse Practitioner (Licence: MI 4704260815) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2021-02-15 |