| NPI | 1659735595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704390333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011021107) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024182237) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016023137) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024182237) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2016023138) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704390333) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024182237) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-06-07 |