| NPI | 1528412947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704260591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704260591) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704260591) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2019-06-26 |