| NPI | 1386870277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704239534) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704239534) |
| 164W00000X Licensed Practical Nurse (Licence: MI 4704239534) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2018-11-14 |