| NPI | 1578022042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 100630) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704300999) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 14191) | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2024-07-15 |