| NPI | 1629382999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704246410) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704246410) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2011-06-20 |