| NPI | 1518003029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704203679) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 200950067NP) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-01-02 |