| NPI | 1376350447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704353429) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MI 4704353429) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-13 |