| NPI | 1619326972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704329003) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2022-06-24 |