| NPI | 1740866557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704371701) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704371701) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2023-03-09 |