| NPI | 1407391998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704269405) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 4704269405) |
| 363L00000X Nurse Practitioner (Licence: MI 4704269405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704269405) | |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2022-05-27 |