| NPI | 1689048902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704385590) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2335194) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2022-07-27 |