| NPI | 1619171444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704187855) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: MI 4704187855) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2013-06-26 |