| NPI | 1598243586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN298835) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704271056) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704271056) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2023-03-31 |