| NPI | 1508299686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704259671) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MI 4704259671) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2021-02-18 |