| NPI | 1659369197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704222869) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704222869) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704222869) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2024-03-21 |