| NPI | 1376212480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704327294) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704327294NSA210R4) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-10-12 |