| NPI | 1417671587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704326783) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704326783) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704326783) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-12-07 |