| NPI | 1396909958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704098787) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MI 4704098787) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2009-08-11 |