| NPI | 1518525880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9272) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP020405) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 20148001523) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2022-07-07 |