| NPI | 1366158487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704343720) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704343720) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-02-13 |