| NPI | 1467726133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704266302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704266302) |
| 163W00000X Registered Nurse (Licence: CO 0205029) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0990420-NP) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0990420-NP) | |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2023-06-02 |