| NPI | 1487235685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704320089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704320089) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704320089) | |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2025-10-08 |