| NPI | 1508458613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704221843) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: MI 4704221843) |
| 163W00000X Registered Nurse (Licence: MI 4704221843) | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-10-18 |