| NPI | 1386157915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704248254) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MI 4704248254) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2019-04-19 |