| NPI | 1417672890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704321209) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704321209) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2024-09-19 |