| NPI | 1437667946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704300379) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704300379) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-01-11 |