| NPI | 1386642791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704203961) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704203961) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: MI 4704203961) | |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2019-02-21 |