| NPI | 1467110650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704311276) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704311276NSA210ZI) |
| Enumeration Date | 2021-12-04 |
| Last Update Date | 2025-10-27 |