| NPI | 1558190678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704263036) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 2024056690) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-30 |