| NPI | 1811198120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704185608) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MI 4704185608) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704185608) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-05-22 |