| NPI | 1558095000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704309776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704309776) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704309776) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-04-21 |