| NPI | 1811481690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704293269) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704293269) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60863924) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-10-08 |