| NPI | 1821731449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704240941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704240941) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-07-05 |