| NPI | 1396788030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704221348) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704221348) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-06-13 |