| NPI | 1700449857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704283236) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MI 4704283236) |
| 363L00000X Nurse Practitioner (Licence: MI 4704283236) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2021-09-03 |