| NPI | 1538512389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 431024) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704303214) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |