| NPI | 1730106261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704149070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9190473) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704149070) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |