| NPI | 1518443514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704295307) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MI 4704295307) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-11-15 |