| NPI | 1659858223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 470427835) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 470427835) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2021-05-19 |