| NPI | 1568703148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704253189) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 470423189) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2014-03-18 |