| NPI | 1396389839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704328234) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704328234) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704328234NSA210DS) | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-12-16 |